Richard Gregory, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Fresno, CANPI 1942289962
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,964 of the $7,284 with a category attached, or 68.2%. 20 manufacturers reported payments, led by Atricure, Inc. at 42.6% of the total. Reporting peaked in 2019 at $3,305 and has fallen 82.3% since, to $586 in 2025.
Across 143 payments — averaging $50.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$3K
- Edwards Lifesciences$1K
- Abiomed$798
- Medical Device Business Services, Inc.$735
- Medtronic$247
- Intuitive Surgical$226
- plus $700 from 14 others
Across 3 payments — averaging $13,000 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Atricure, Inc.$39K
What the payments were for
- Travel & lodging$2,31932%
- Food & beverage$4,96468%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Atricure, Inc. | 42 | $3,105 |
| Edwards Lifesciences | 48 | $1,473 |
| Abiomed | 14 | $798 |
| Medical Device Business Services, Inc. | 6 | $735 |
| Medtronic(2 entities) | 4 | $247 |
| Intuitive Surgical | 2 | $226 |
| Johnson & Johnson | 3 | $160 |
| Abbott | 5 | $128 |
| BD | 3 | $72 |
| LSI Solutions Inc | 3 | $62 |
| Stryker | 1 | $55 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $46 |
| Artivion, Inc. | 1 | $46 |
| Terumo Cardiovascular Systems Corporation | 1 | $29 |
| Kls-martin L.p. | 1 | $25 |
| Novo Nordisk | 1 | $24 |
| Veran Medical Technologies, Inc. | 1 | $16 |
| Vertex | 1 | $15 |
| Boston Scientific | 1 | $11 |
| Teleflex LLC | 1 | $11 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- ECHELON FLEX Stapler$639
- HARMONIC Product Family$639
- Surgicel Powder$639
- ATRICURE SYNERGY ABLATION SYSTEM$548
- Impella$420
- EPI-SENSE GUIDED COAGULATION SYS$229
- Da Vinci Surgical System$161
- ACC2 CARDIAC CRYOSURGICAL SYSTEM$136
- ATRICURE ATRICLIP LAA EXCLUSION$136
- SYNERGY ABLATION SYSTEM$134
- Avalus$116
- Valiant Captivia$104
How this compares
$7,284 in reported general payments places this provider in the 60th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.
See all thoracic surgery (cardiothoracic vascular surgery) providers in California →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other thoracic surgery (cardiothoracic vascular surgery) in Fresno
- Shamsuddin KhwajaFresno$158K
- Thomas FogartyPortola Valley$3.7M
- Steven GundryPalm Springs$1.6M
- Armin KiankhooySaint Helena$941K
- Ara KlijianMurrieta$916K
- Gregory FontanaThousand Oaks$875K
- Gansevoort DunningtonSaint Helena$764K
- Wilson TsaiWalnut Creek$680K
- Fernando FleischmanLos Angeles$608K
- Harmik SoukiasianLos Angeles$577K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.